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Organization
BEHAVIORAL HEALTH BY SUNRISE INC.
Active
Organization
BEHAVIORAL HEALTH BY SUNRISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE FERNANDEZ ED.D (CLINICAL MANAGER)
(413) 478-4567
Entity
Organization
Contact information
Practice address
255 PARK AVE STE 500, WORCESTER, MA 01609-1989
(413) 478-4567
Mailing address
255 PARK AVE STE 500, WORCESTER, MA 01609-1989
(413) 478-4567
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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